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JFAC advances restructuring of emergency medical services; votes split on transfer to Military Division

2743339 · March 12, 2025
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Summary

JFAC took up trailer actions for House Bill 206 to move Emergency Medical Services from the Department of Health and Welfare to the Idaho Military Division but several transfer motions lacked an affirmative majority in the Senate and will be transmitted for further consideration.

The Joint Finance‑Appropriations Committee considered trailer actions tied to House Bill 206 that transfer the Emergency Medical Services (EMS) program from the Department of Health and Welfare to the Idaho Military Division.

Alex Williamson and Frances Lippitt (Legislative Services Office analysts) explained the technical steps: reduce the EMS appropriation in public health, move staffing and certain federal funds tied to the preparedness and response portion of EMS into the physical health program that remains at the Department of Health and Welfare, and create a new EMS budgeted program in the Military Division with ongoing funding for a part‑time medical director and transition costs.

Senator Bierke, who moved the initial transfer motions, said the Military Division’s Office of Emergency Management already operates related functions — backup dispatch, HazMat programs and rural EMS — and that the move would give EMS “a more operational focus…under the Adjutant General.” She described the transfer as part of a broader restructuring to align training, rules and scope for EMTs and paramedics.

JFAC approved the reduction motion in committee on the House side but the joint roll calls did not produce an affirmative majority in the Senate for several of the transfer motions. For example, the reduction motion tally in committee was recorded as 13 ayes, 3 nays and 4 absent/excused; committee officers noted the majority in the Senate did not vote in the affirmative and that the motion will be sent to the Senate for further action. A subsequent motion to establish the EMS program in the Military Division and fund transition costs passed the House‑side roll call but likewise lacked an affirmative majority in the Senate on the joint tally and will be transmitted to the Senate.

The committee also approved a separate request to fund a part‑time medical director and a one‑time transition appropriation for the new Military Division EMS program; that motion was seconded and recorded but committee staff noted the same cross‑chamber procedural issue.

What’s next: Per committee practice, the items are being transmitted for consideration in the Senate; the transfer is contingent on final legislative action and any statutory changes needed to implement HB206.